Random inspection report
Care homes for older people
Name: Address: Henwick Grange 68 Hallow Road St Johns Worcester Worcestershire WR2 6BY one star adequate service 12/02/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Morag Ross Date: 1 4 0 7 2 0 0 9 Information about the care home
Name of care home: Address: Henwick Grange 68 Hallow Road St Johns Worcester Worcestershire WR2 6BY 01325351100 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jeanette Bedford Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OpCo Limited care home 56 Number of places (if applicable): Under 65 Over 65 0 56 0 dementia old age, not falling within any other category physical disability Conditions of registration: 56 0 56 The maximum number of service users to be accommodated is 56. The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Both Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category (OP) 56 Physical Disability (PD) 56 Dementia (DE) 56 Date of last inspection 1 2 0 2 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Henwick Grange Nursing Home is a large Victorian building with purpose built extensions. The home stands in pleasant well maintained gardens, providing seating for residents and relatives to sit outside when the weather permits. The home is conveniently situated within the boundary of the City of Worcester. There is ample parking at the home for visitors and a frequent bus service to and from the City. The home provides a vehicle for transportation of residents, which is suitable for people with a physical disability. The home changed ownership last year and is now owned by Southern Cross Op Co Limited. The home is registered to provide nursing care and accommodation for a maximum of 56 residents with dementia, a physical disability or frailty due to old age. There is good access into the home via a touch pad operated automatic door. Accommodation is provided over two floors with a passenger lift providing access to first floor rooms. Up-to-date information relating to the fees charged for the service is available on request from the home. Care Homes for Older People Page 3 of 8 What we found:
The pharmacist inspector visited the home on 14th July 2009 as part of a random inspection to check the management and control of medicines within the service. We saw that medication was stored securely in two locked medicine trolleys and cupboards.It was therefore disappointing that we saw some medication for disposal had been placed in a corridor. The medication was not secure and there was an increased risk of harm to people who live in the service. The deputy manager asked the nurse on duty to secure the medication immediately, which was done. We looked at the medication administration records and overall found that they were well documented with a signature for administration or a reason was recorded if medication was not given. However, We found that sometimes staff did not always document the amount of medicine that had been given to a person. For example we saw that when medication was prescribed as a variable dose such as, one or two tablets to be given, there was not always a clear record of how many was given.The Deputy Manager informed us that this was already being monitored and had been picked up in a monthly check on medication.We were shown a monthly check dated 10th June 2009, which helped to ensure staff were made aware of any poor practice. We found that medication records were generally up to date. For example, we saw current records for the receipt and disposal of medication.The date of opening of boxes and bottles of medicines were recorded and balances of medication were carried forward from old records to new records. These records helped to ensure there was a clear audit trail of medication. We found that counts and checks made on medication were accurate, which showed that people who live in the service were being given medication as prescribed by a medical practitioner. Information relating to medication was not always available in the care plan. For example, one resident was prescribed a tablet for agitation and was to be given when required. We saw no written information to inform staff under what circumstances the tablet should be given. We discussed our concern with the manager who was able to explain when the medication would be given, however this was not documented in the care plan. We saw that the tablet had been given on the morning of the inspection. We looked at the daily records, however it had not been written up at that time. We were informed by the Deputy Manager that this would be done before the end of the shift. This means that there was a lack of clear written directions in the care plan and that there was an increased risk of harm to the health and wellbeing of people living in the service. What the care home does well: What they could do better:
The service should ensure that all medication is stored safely and securely at all times, including medication for disposal.
Care Homes for Older People Page 4 of 8 Staff need to ensure that they document the exact amount of medication that is given especially when it is a variable dose, such as one or two tablets to be given. this is to ensure that records of medication administration are accurate. Care plans for medication that is to be given when required should be kept up to date with all relevant information. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
